Stephen Moudy

Case Manager/Care Coordinator · Clinton, AR

Individual Active NPI

NPI number 1073171013

Practice location

242 Shake Rag Rd
Clinton, AR 72031-6629
Phone
(501) 315-3344

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NPI record

NPI
1073171013
Entity type
Individual (Type 1)
Enumeration date
June 4, 2019
Last updated
June 4, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

Mailing address

PO Box 1589
Benton, AR 72018-1589
Phone
(501) 315-3344

About Stephen Moudy

Stephen Moudy is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 242 Shake Rag Rd, Clinton, AR 72031-6629. The NPI number 1073171013 was assigned on June 4, 2019 and the record was last updated on June 4, 2019.

Frequently asked questions

What is the NPI number of Stephen Moudy?

The NPI number is 1073171013.

What is the phone number of Stephen Moudy?

The phone number listed for the practice location is (501) 315-3344.

Where is Stephen Moudy located?

242 Shake Rag Rd, Clinton, AR 72031-6629.

What is the taxonomy code for Stephen Moudy?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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